SWEFA Enchanted Mountain
Gathering (EMG)2010 – Under-18 Guardian Permission Slip,if child is not accompanied
by their parent)
I,
, am the Parent or Legal Guardian of age
.
My child has my permission to be at SWEFA EMG
event August 5, 2010 through August 8, 2010 at the Paliza Camp Grounds, near Jemez Springs, NM, under the guardianship of
who has my permission to obtain any necessary medical treatment, and who agrees to be fully responsible for my child’s safety and behavior during the event.
Signed:
Parent
or Legal Guardian
Date Signed
( )
Address Phone
On this
day of
2010, in the state of
, county of
, before me personally appeared , who is known to me to be the person who signed the above
instrument, and who acknowledged to me that s/he signed the same as his/her free act and deed.
Notary Public
My Commission Expires
I
understand
and agree that during SWEFA EMG event, August 5, 2010 through August 8, 2010, I will be legally responsible
for
age ,
a minor. I further understand that I must remain at the event with
the minor, and that if I leave the event the minor must leave with me, and that if said minor is found violating
city or state laws, or the rules of the gathering,
both the minor and I will forfeit our registrations, and registration fees, and be required to leave immediately.
Signed:
Temporary
Guardian-August 5, 2010 through August 8, 2010
Date Signed
( )
Address
Phone
On
this
day of
2010, in the state of
, county of
, before me personally appeared , who is known to me to be the person who signed the above
instrument, and who acknowledged to me that s/he signed the same as his/her free act and deed.
Notary Public
My Commission Expires
_________________________________________________________________________________________________________
A minor who is not
your child must have this form, properly notarized, on his/her person in order to attend this SWEFA Event. The
parent fills out and signs the top of the form, and the temporary guardian fills out and signs the bottom.
COPY MUST BE PROVIDED AT GATE, ORIGINAL WITH GUARDIAN. Notaries can be found in banks, credit unions,
insurance agencies, perhaps the office you work in, and many other places. Some notaries charge a small fee others do
not. Notarization enables your child to receive necessary medical care and protects you, your child, and
SWEFA.
